What is in a name?

Many of you may have heard in the media recently that the name of PCOS (polycystic ovarian syndrome) has been changed to PMOS (polyendocrine metabolic syndrome). Is this just semantic or is there a significance in this name change?

PMOS is a condition that affects 8 % of Canadian women. Classically the illness was thought to be a hormonal disorder that was associated with irregular periods, unwanted hair growth, acne and weight gain. There were sometimes but not always cysts in the ovaries of women with the syndrome. The focus was on its impacts on reproductive health and fertility.

There are profound effects of the syndrome on metabolic health with weight gain and high risk for heart disease, elevated cholesterol and diabetes. The change in the name puts the discussion around these metabolic changes front and centre to the discussion. This means that prevention of diabetes and heart disease is key. 

The use of ultrasound to look for cysts is no longer recommended. The birth control pill might be useful for controlling irregular periods but does not need to be the only treatment. Early lifestyle changes including a focus on diet (less refined sugars, more protein) and exercise (more strength training) need to become the first discussion around treating PMOS.

The name matters. If you suspect you may have PMOS or have been diagnosed visit www.pcossupport.org for information to help empower you to managing the symptoms. 

 

Dr. Bhooma Bhayana is a family physician in London and the mother of two young men and proud grandmother of three! She continues to find wonder and enjoyment in family practice despite more than 30 years on the job!